BackTable+

1. Why use cryoablation for bone metastases

2. How do you approach ablating lesions in challenging locations

3. Could you briefly summarize the results of this study and how the patients did

4. Can you tell us your general approach with choosing the number and type of probes you-re going to use

5. Can you tell us about neuroprotective techniques, including CO2 dissection and the hydro dissection

6. Tell us about your procedure setup for a typical cryoablation case

Module 1 Quiz

CME/CE Reflection: Module I, Cryoablation for Painful Bone Metastases with Dr. Jack Jennings

1. What kind of considerations are you having with patient selection for bone tumor ablation

2. What-s the rationale for bone tumor ablation prior to augmentation

3. Tell us about integrating the two techniques of bone tumor ablation and mechanical augmentation

4. Do you always use the bilateral trans pedicular approach

5. What are your thoughts on using advanced systems such as cone beam CT with needle guidance navigation

Module II Quiz

CME/CE Reflection: Module II, My Approach to Vertebral Tumor Ablation & Augmentation with Dr. Dana Dunleavy

1. Tell us about your clinic and where spine tumor ablation referrals come from

2. What modalities did you use when you first started performing spine tumor ablations

3. What are the advantages of microwave ablation compared to radio frequency ablation

4. When starting out with microwave ablation, what types of cases should be avoided

5. How does oligo- versus diffusely metastatic disease influence your decision to microwave ablate

6. What is your setup and how do you recommend others to implement microwave ablation

7. How do you plan ahead for the ablation zone

Module III Quiz

CME/CE Reflection: Module III, Microwave Ablation for Treatment of Spine Tumors with Dr. Majid Khan

1. Can you tell me what are the open surgical options for treating patients with spine metastases or primary spinal tumors

2. When considering ablation or pedicle screws, which cases are going to need pedicle screws afterward

3. What lesions are good candidates for ablation vs a decompression or management that doesn-t include ablation

4. Can you share the last update we had from the Opus one trial from a neurosurgeon’s perspective

5. How would you approach larger tumors in the spine

Module IV Quiz

CME/CE Reflection: Module IV, RF Ablation for Painful Spinal Metastases with Dr. Nam Tran

1. How did ablation for osseous metastatic disease become such a big part of your practice

2. What are some of the common locations of the metastases that you-re treating

3. Are there any particular contraindications or problem locations that come up

4. When do you perform cementoplasty after ablation, and when is ablation alone is sufficient

5. Tell us about performing screw fixation for bone lesions

6. Is there a role for pre ablation embolization in any of your cases

Module V Quiz

CME/CE Reflection: Module V, Treating Extraspinal Painful Bony Metastases with Dr. Steven Yevich

1. What is it about Desmoid Tumors that makes them unique

2. Why is cryoablation typically the preferred modality for treatment

3. Can you tell us more about the thermoprotective strategies you mentioned

4. Can you tell us about your imaging technique in treating these

5. How many probes do you use in an average case

6. When does their post operative pain typically peak and when do they start to see relief

7. Can you tell us about a few desmoid cases that were particularly challenging

8. Are these cases mostly being done under general anesthesia or sedation

9. Can you tell us about the multidisciplinary approach to treating these

10. How have these treatments progressed over time

11. Tell us about where interventional radiology specifically shows up in NCCN guidelines for desmoids

12. What are some experiences you-ve had dealing with insurance

Module VI Quiz

CME/CE Reflection: Module VI, Diagnosis and Management of Desmoid Tumors with Dr. Jack Jennings